Provider Demographics
NPI:1942970439
Name:PIROZZOLO, ALICIA A (RN)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:A
Last Name:PIROZZOLO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2530 ROLLING FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-2261
Mailing Address - Country:US
Mailing Address - Phone:262-412-5762
Mailing Address - Fax:
Practice Address - Street 1:2530 ROLLING FIELDS DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-2261
Practice Address - Country:US
Practice Address - Phone:262-412-5762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI177767163WP0200X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics